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目的 :寻求阴茎癌有效合理的治疗方法。方法 :总结分析了阴茎癌 6 8例 ,其中鳞状细胞癌 5 8例 ,乳头状瘤恶变 10例。行阴茎部分切除术 5 7例 ,阴茎全切除并尿道会阴部造口术 11例 ,随后行双侧腹股沟淋巴结清扫术 6例。结果 :46例获得随访 ,行阴茎部分切除术者 5年和 10年以上生存率分别为 87.7%和 82 .2 % ,行阴茎全切除术者 5年和 10年生存率分别为 85 .8%和 80 .4% ,二者比较无显著性差异 (P >0 .0 5 )。结论 :包茎、包皮过长及不良的卫生习惯是导致阴茎癌的主要因素。阴茎部分切除术是治疗 、 期阴茎癌十分合理和有效的方法 ,其生存率与阴茎全切除术无差别。对于有明显转移者 ,应积极行腹股沟淋巴结清扫术。
Objective: To seek effective and reasonable treatment of penile cancer. Methods: A total of 68 cases of penile cancer were analyzed, including 58 cases of squamous cell carcinoma and 10 cases of malignant papillomatosis. Fifty-seven cases underwent phallic partial resection, 11 cases underwent complete resection of the penis and urethral perineum, followed by bilateral inguinal lymph node dissection in 6 cases. Results: The 46 patients were followed up for 5 years and more than 10 years respectively, the survival rates were 87.7% and 82.2% respectively. The 5-year and 10-year survival rates of total penctomy were 85.8% And 80.4% respectively, there was no significant difference between them (P> 0.05). Conclusions: Phimosis, long foreskin and poor hygiene habits are the main causes of penile cancer. Penile partial resection is the treatment of penile cancer is a very reasonable and effective method, its survival rate and no difference between the penis and total resection. For those who have a clear shift should be actively performed groin lymph node dissection.